Volunteer Application s5

VOLUNTEER APPLICATION GROUP SERVICE

Thank you for your interest in volunteering with DC Public Library! So that we may match your group with the best project fit, please provide the following details. Incomplete applications may result in a processing delay.

CONTACT INFORMATION

Name of Organization: ______

Address: City, State, Zip: ______

Contact (Ms/Mrs/Miss/Mr/Dr/Rev):

Job Title: E-mail Address: ______

Daytime Phone: ___Evening Phone: ____ Cell Phone: ______

TELL US MORE ABOUT YOUR GROUP

How many people will be in your group?

1-10 10-20 20-30 30-50 50-100 100+

What is the primary age of your group? (Minimum age to volunteer is 14. Youth 18 and under require written permission from a parent or guardian.)

Teens (14-19) Young Adult (20-24) Adult Senior All ages

What form of transportation will your group use to get to the location? (Check all that apply)

Metro line(s): Bus Car Walking/Biking

Where can your group perform service?

Martin Luther King, Jr. Memorial Library

Neighborhood Library Which one(s): (to view all library addresses and hours, please visit www.dclibrary.org)

Can all individuals in your group provide certification of cleared background checks? (Background checks are required for ongoing service with children, youth and other safety sensitive positions.)

Yes No

of 3 Does your group wish to use photographs of service for any publicity or marketing purposes? (Any photos of children or youth participating in Library and partner programs require a written release from parent or guardian.)

Yes No

How frequently does your group wish to volunteer?

Temporary Service:

Half Day Full Day Week Month Other:

Ongoing Service:

Weekly Monthly Quarterly Twice / year Once / year Other:

When is your group available to volunteer?

Shift Mon Tue Wed Thu Fri Sat 9 AM – 1 PM 1 PM – 5 PM 5 PM – 9 PM

What dates does your group wish to volunteer?

What type of service project is your group willing to perform? (Check all that apply. We cannot guarantee availability of each service opportunity at all times.)

Shelf Grounds Events Materials Street Materials maintenance maintenance (greeting, Assembly Outreach Maintenance (shelving, (gardening, crowd (Paper (publicizing (book dusting, beautification, control, folding, Library cleaning, alphabetizing trash food envelop programs & repair etc.) etc.) collection etc.) service stuffing, fabric services) etc.) cutting etc.)

Other:

What population is your group comfortable working with? (Check all that apply)

Children Teens Adult Senior Special Needs Limited English

Other:

Are members of your group fluent in a language other than English? (Check all that apply)

Spanish Amharic French Chinese Korean ASL

Other:

Are there members of your group willing and able to serve as team leaders for your volunteer project?

Yes No If yes, how many?

Please tell us if your group has any other special needs, skills or wishes for their service experience.

of 3 How did you hear about the DC Public Library Volunteer Program?

Library website Walk-in Poster or flyer in a library Poster or flyer at another agency or business

Referral from a library volunteer Referral from a library employee Referral from another agency employee

Other website:

If you were referred by an employee, volunteer, or other agency please list below. We’d like to thank them!

Contact Name: Division, Site or Agency: ______

SERVICE AGREEMENT

If my group is matched for service, as the contact, I agree to alert the Volunteer Coordinator to any changes in the above information, including but not limited to:

1. Final head count of participants 3 business days in advance

2. Notification of cancellation or need to reschedule 1 week in advance

Signature: Date:

Please return your completed form by e-mail, mail or fax to:

Stacey B. Lucas Volunteer Coordinator Martin Luther King, Jr. Memorial Library 901 G Street, NW, Room 456 Washington, DC 20001 Tel: 202-741-5803 - Fax: 202-727-1129 [email protected]

Thank you for your interest in supporting DC Public Library!